Lactated Ringer’s Solution (Hartmann’s Solution®)

Question 1

Generic/Trade Name

Lactated Ringer’s Solution

Answer 1

Hartmann’s Solution®

Question 2

Generic/Trade Name

Hartmann’s Solution®

Answer 2

Lactated Ringer’s Solution

Question 3

Lactated Ringer’s Solution (Hartmann’s Solution®)

Classification:

Answer 3

• Isotonic crystalloid solution

Question 4

Lactated Ringer’s Solution (Hartmann’s Solution®)

Mechanism of Action:

Answer 4

• Volume replacement,
• water and electrolytes

Question 5

Lactated Ringer’s Solution (Hartmann’s Solution®)

Onset of Action

Answer 5

• Immediate

Question 6

Lactated Ringer’s Solution (Hartmann’s Solution®)

Peak Effects

Answer 6

• Immediate

Question 7

Lactated Ringer’s Solution (Hartmann’s Solution®)

Duration of Effect

Answer 7

• Varies depending upon disease process

Question 8

Lactated Ringer’s Solution (Hartmann’s Solution®)

Half-Life

Answer 8

• Not Applicable

Question 9

Lactated Ringer’s Solution (Hartmann’s Solution®)

Indications/Field Use:

Answer 9

• Hypovolemia
• Severe Burns
• Keep open IV

Question 10

Lactated Ringer’s Solution (Hartmann’s Solution®)

Contraindications:

Answer 10

• Patient with congestive heart failure or renal failure
• Hypersensitivity to sodium lactate

Question 11

Lactated Ringer’s Solution (Hartmann’s Solution®)

Side Effects/Adverse Reactions:

Answer 11

• May induce pulmonary edema if given to patient with history of CHF; otherwise
  none in EMS

Question 12

Lactated Ringer’s Solution (Hartmann’s Solution®)

ADULT Dose:

Answer 12

• Wide-open IV, IO until BP(Systolic)>100mmHg, then 100ml/hr

Question 13

Lactated Ringer’s Solution (Hartmann’s Solution®)

PEDI Dose:

Answer 13

• PEDI: 20cc/kg IV, IO

Question 14

Lactated Ringer’s Solution (Hartmann’s Solution®)

Precautions:

Answer 14

• Patients should be monitored for circulatory overload

Question 15

Lactated Ringer’s Solution (Hartmann’s Solution®)

Drug-Drug Interactions:

Answer 15

• Additive effects with potassium-sparing drugs; May cause hyperkalemia
• Forms PPT in IV tubing with Ceftriaxone